KEVIN CARTER BLANTON (PA-C) – Physician Assistant, NPI 1659318764

KEVIN CARTER BLANTON (PA-C) is a healthcare provider. based in Maryville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1178 (TN). The NPI Number for KEVIN CARTER BLANTON (PA-C) is 1659318764

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CARTER BLANTON (PA-C)
NPI
1659318764
Phone
(865) 273-1752
Address
103 W BROADWAY AVE
Enumeration Date
31 May 2006
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8659805100
Graduation Year
2001 (25 years ago)
PAC ID
5698738698
Group Practice PAC ID
6406844174
Professional Enrollment ID
I20041110000866
Address ID
TN378045807MA463XXPHYS301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for KEVIN CARTER BLANTON (PA-C)

  • 103 W BROADWAY AVE

    MARYVILLE, TN 378014703

    Phone: (865) 273-1752

    Fax: (865) 273-1755

    Type: Mailing

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone:

    Type: Mailing

  • 232 ASSOCIATES BLVD

    ALCOA, TN 377011943

    Phone: (865) 238-6450

    Fax: (865) 238-6451

    Type: Location

  • Dowell Springs Boulevard, Knoxville, Knox County, Tennessee, 37909, United States

    KNOXVILLE, TN 379092448

    Phone: (865) 524-2547

    Fax: (865) 205-5601

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 179 Open Payments records for all available years, with a total value of $3,647.

Total Amount is formed as General ($3,647) + Research ($0) + Ownership ($0) = $3,647.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($696).

Total Amount

$3,647

General + Research + Ownership

Payments

179

Total payment records

General Amount

$3,647

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041110000866IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,225211$0
99213Established patient office or other outpatient visit, 20-29 minutes685486$0
17000Destruction of precancer skin growth, 1 growth370286$0
17110Destruction of skin growth, 1-14 growths290224$0
11102Biopsy of related skin growth, first growth281243$0
View full utilization report →

Insurance plans in this area (ZIP 37801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406844174View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
-TN
-TN
Certified Registered Nurse Anesthetist (Crna)SC
General Surgery, Vascular SurgerySC
-TN
N E U R O L O G YCA
Physician AssistantSC
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I cross-check KEVIN CARTER BLANTON (PA-C) using NPI 1659318764?
NPI 1659318764 belongs to KEVIN CARTER BLANTON (PA-C); compare other details if you need extra assurance.
Is KEVIN CARTER BLANTON (PA-C) still an active registrant?
KEVIN CARTER BLANTON (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for KEVIN CARTER BLANTON (PA-C)?
At a glance, KEVIN CARTER BLANTON (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Tennessee is KEVIN CARTER BLANTON (PA-C) registered?
Use Maryville, Tennessee as the headline location for KEVIN CARTER BLANTON (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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